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Monday, April 7, 2014


When we remember the Affordable Care Act’s (ACA’s) birth pains, we’re not surprised by the invective that dominates our discussions of the ACA today. Everyone remembers House Speaker Nancy Pelosi’s famous line about having to pass the bill before you could read it. But it was the shifting, razor-thin partisan margin in the Senate that left us with a piece of legislation that was even more flawed than we originally expected. Physicians Foundation CEO Tim Norbeck and I return to the Capitol Hill of late 2009 and early 2010 in our latest blog post for Forbes.com: “A Look Back At How The President Was Able To Sign ObamaCare Into Law Four Years Ago.” Along the way, we trace the sources of today’s rancor. “Republicans invoked Thomas Jefferson’s observation that ‘great innovations should not be forced on a slender majority — or enacted without broad support.’ … They complained that one fewer vote in the Senate or a change of four votes in the House would have been enough to defeat ObamaCare. Democrats responded just as vociferously and passionately that this health care reform package was too important and overdue to delay or compromise.” And the fight goes on.

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